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Clean indoor air ordinance coverage in the appalachian region of the United States

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  • Ferketich, A.K.
  • Liber, A.
  • Pennell, M.
  • Nealy, D.
  • Hammer, J.
  • Berman, M.

Abstract

Objectives. We sought to quantitatively examine the pattern of, and socioeconomic factors associated with, adoption of clean indoor air ordinances in Appalachia. Methods. We collected and reviewed clean indoor air ordinances in Appalachian communities In 6 states and rated the ordinances for completeness of coverage in workplaces, restaurants, and bars. Additionally, we computed a strength score to measure coverage In 7 locations. We fit mixed-effects models to determine whether the presence of a comprehensive ordinance and the ordinance strength were related to community socioeconomic disadvantage. Results. Of the 332 communities included in the analysis, fewer than 20% had adopted a comprehensive workplace, restaurant, or bar ordinance. Most ordinances were weak, achieving on average only 43% of the total possible points. Communities with a higher unemployment rate were less likely and those with a higher education level were more likely to have a strong ordinance. Conclusions. The majority of residents in these communities are not protected from secondhand smoke. Efforts to pass strong statewide clean indoor air laws should take prioritv over local initiatives in these states.

Suggested Citation

  • Ferketich, A.K. & Liber, A. & Pennell, M. & Nealy, D. & Hammer, J. & Berman, M., 2010. "Clean indoor air ordinance coverage in the appalachian region of the United States," American Journal of Public Health, American Public Health Association, vol. 100(7), pages 1313-1318.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2009.179242_1
    DOI: 10.2105/AJPH.2009.179242
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    Cited by:

    1. Joseph G. L. Lee & Adam O. Goldstein & Leah M. Ranney & Jeff Crist & Anna McCullough, 2011. "High Tobacco Use among Lesbian, Gay, and Bisexual Populations in West Virginian Bars and Community Festivals," IJERPH, MDPI, vol. 8(7), pages 1-12, July.
    2. Kai‐Wen Cheng & Feng Liu & MariaElena Gonzalez & Stanton Glantz, 2017. "The Effects of Workplace Clean Indoor Air Law Coverage on Workers' Smoking‐Related Outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 26(2), pages 226-242, February.
    3. Hadii M. Mamudu & Fenose Osedeme & Crystal Robertson & Mary Ann Littleton & Daniel Owusu & Liang Wang & Donley T. Studlar, 2020. "A Qualitative Study to Explore Perception of Impacts of Preemption of Tobacco Regulation on Counties in Appalachian Tennessee," IJERPH, MDPI, vol. 17(9), pages 1-16, May.

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